Individual
KENNETH FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9935D REA RD STE 266, CHARLOTTE, NC 28277-6710
(912) 401-9450
Mailing address
9935D REA RD STE 266, CHARLOTTE, NC 28277-6710
(912) 401-9450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2013-01741
NC
2085R0202X
Diagnostic Radiology Physician
27062
SC
2085R0202X
Diagnostic Radiology Physician
MD.30241
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918994
—
NC
Enumeration date
08/02/2006
Last updated
03/26/2025
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